BRIDGETOWN CHIROPRACTIC AND WELLNESS PC
NPI 1407020290
Chiropractor - Sports Physician in Portland, OR

Q: What is Bridgetown Chiropractic And Wellness PC's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Active since April 14, 2008

7727 NE GLISAN ST, PORTLAND, OR 97213(503) 490-5647 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 28, 2026, Apr 15, 2026, Apr 7, 2026 (3 updates tracked since 2026).

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About Bridgetown Chiropractic And Wellness Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIDGETOWN CHIROPRACTIC AND WELLNESS PC (NPI 1407020290) is a healthcare organization registered as a sports physician in Portland, Oregon and active in the NPI registry since April 2008. The organization maintains 2 additional practice locations and lists Dawn L Petricevic, Accounts Manager, as its authorized official.

NPPES Registry Identity

NPI1407020290

Entity TypeOrganization

Primary Taxonomy111NS0005X

Legal Business NameBRIDGETOWN CHIROPRACTIC AND WELLNESS PC

Location Address7727 NE GLISAN STPortland, OR 97213-6360

Mailing Address7727 Ne Glisan StPortland, OR 97213-6360 · (503) 490-5647 · Fax (503) 254-4749

Phone(503) 490-5647

Organization SubpartNo

Authorized OfficialDawn L PetricevicAccounts Manager · (503) 490-5647

Enumeration DateApril 14, 2008

Last NPPES UpdateMay 28, 20263 updates tracked since enumeration

NPPES CertifiedMay 28, 2026

✔ NPI 1407020290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers

Taxonomy Code111NS0005X

License✔ Licensed in OR · 273541

Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

7727 NE GLISAN ST, Portland, OR 97213

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Secondary Practice Locations 2

Location 15828 N Lombard St # BPortland, OR 97203-4116 · Phone (503) 490-5647 · Fax (503) 254-4749

Location 213327 SE Misty Dr Ste 200Happy Valley, OR 97086-9309 · Phone (503) 490-5647 · Fax (503) 254-4749

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bridgetown Chiropractic And Wellness Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Bridgetown Chiropractic And Wellness PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Hudson Clark, DC

Chiropractic

NPI 1407379860

7727 NE GLISAN ST
Portland, OR 97213

(503) 490-5647

Same address

Dwight Reid, DC

Chiropractic

NPI 1609993104

7727 NE GLISAN ST
Portland, OR 97213

(503) 490-5647

Same address

Madeline Mccalder, DC

Chiropractic

NPI 1992579650

13327 SE MISTY DR STE 200
Happy Valley, OR 97086

(503) 490-5647

7.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bridgetown Chiropractic And Wellness PC's NPI number?

The NPI number for Bridgetown Chiropractic And Wellness PC is 1407020290. It was assigned to this organization in the NPPES registry on April 14, 2008.

Where is Bridgetown Chiropractic And Wellness PC located?

Bridgetown Chiropractic And Wellness PC is located at 7727 NE Glisan St, Portland, OR 97213. The listed phone number is (503) 490-5647.

What is Bridgetown Chiropractic And Wellness PC's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Bridgetown Chiropractic And Wellness PC enrolled in Medicare?

Yes. Bridgetown Chiropractic And Wellness PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bridgetown Chiropractic And Wellness PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Chiropractic, reassign their Medicare billing to Bridgetown Chiropractic And Wellness PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bridgetown Chiropractic And Wellness PC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Bridgetown Chiropractic And Wellness PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bridgetown Chiropractic And Wellness PC was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.